Complete thoracoscopic surgery requires only one to three small 1,5 cm holes in the chest wall. A tiny medical camera projects the situation inside the chest cavity onto a large display screen, and the surgical field of view can be enlarged as needed to show subtle structures, which is clearer and more flexible than under direct visualization by the naked eye. TV thoracoscopic surgery requires higher and more stringent requirements from the surgeon, who must undergo rigorous training in thoracoscopic surgery in order to truly master the operation of complex surgery under full thoracoscopy.
I. Advantages of the surgery
1.Small surgical trauma.
Ordinary open-chest surgery is very traumatic, the incision is over 20cm, the chest wall is severely damaged, all layers of the chest wall muscles are cut off, and the intercostal space is also forcibly propped open for 10-20cm, and the postoperative pain has been difficult to solve. In contrast, thoracoscopic surgery can be completed by making three small incisions of 1-5cm in length on the chest wall, and there is no need to open the intercostal space, which greatly reduces the trauma of the operation, and patients can get out of bed on the same day after thoracoscopic surgery.
2.Light postoperative pain.
Common open-heart surgery has a large trauma to the chest wall and forceful intercostal opening during the operation, resulting in obvious postoperative pain, which can last for months to years, and most patients have limited postoperative activities. Thoracoscopic surgery is not necessary to open the intercostal space, so the patient’s pain is obviously reduced after surgery, and he can get out of bed on the day of surgery and resume normal work 2-4 weeks after surgery.
3.Low impact on lung function.
Since thoracoscopic surgery does not cut off the chest wall muscles and does not open the ribs, the integrity of the thorax and the respiratory function of the patient are largely preserved compared with conventional open-heart surgery, so the postoperative lung function and mobility of the patient are better than those of conventional open-heart surgery patients.
4.Low impact on immune function.
Surgery will reduce the immune function of the body to varying degrees, and the greater the surgical trauma, the greater the impact on immune function. Thoracoscopy significantly reduces the surgical trauma compared with conventional open-heart surgery, and the impact on immune function is greatly reduced.
5.Less postoperative complications and more beautiful.
Using modern camera technology and high-tech surgical instruments and equipment, it is a new minimally invasive thoracic surgery technique to complete complex surgery in the chest wall under a trocar or tiny incision.
Complete thoracoscopic surgery requires only one to three small 1,5 cm chest wall holes. A tiny medical camera projects the situation inside the chest cavity onto a large display screen, and the surgical field of view can be enlarged as needed to show subtle structures, which is clearer and more flexible than under direct visualization of the naked eye.
TV thoracoscopic surgery requires higher and more stringent requirements for the surgeon, who must undergo strict training in thoracoscopic surgery in order to truly master the operation of complex surgery under full thoracoscopy.
II. Indications for surgery
1.Diagnostic surgery indications.
It can be applied to the diagnosis of a variety of thoracic diseases including pleural, pulmonary, mediastinal and pericardial diseases as well as thoracic trauma. Clear and comprehensive observation of the thoracic cavity, photography and video, and access to sufficient tissue for pathological examination can be obtained.
2. Indications for therapeutic surgery.
① pleural diseases: spontaneous pneumothorax, hemothorax, abscess thorax, celiac thorax, pleural effusion due to pleural tumor, etc.
②Pulmonary diseases: resection of benign lung masses, radical lung cancer, lung volume reduction for end-stage emphysema.
③Esophageal diseases: esophageal smooth muscle tumor, esophageal diverticulum, cardia incontinentia, esophageal cancer.
④Mediastinal diseases: mediastinal tumors of thymus and other parts, mediastinal cysts, etc.
⑤ Other: hand sweating, celiac disease, cardiopulmonary trauma, thoracic deformity, etc.